Trovafloxacin mesylate oral

TROVAFLOXACIN - ORAL


IMPORTANT NOTE: The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

TROVAFLOXACIN - ORAL

(troh-vah-FLOX-uh-sin)

COMMON BRAND NAME(S): Trovan

WARNING: This medication may cause serious, even life- threatening, liver problems. Therefore, first doses must be given in a hospital setting. Use should be reserved for serious infections and only when other safer drugs cannot be used. This drug has been restricted in its use in the U.S. market due to safety problems. Notify your doctor immediately if you develop yellowing eyes or skin, dark urine, or unusual fatigue.

USES: This medication is used to treat serious and life-or-limb- threatening infections.

HOW TO USE: Take by mouth exactly as directed by your doctor, usually once daily with or without food. Dizziness is less likely if this drug is taken at bedtime or with food. Antibiotics work best when the amount of medicine in your body is kept at a constant level. Do this by taking the medication at the same time each day. Continue to use this medication until the full prescribed amount is finished even if symptoms disappear after a few days. Stopping the medication too early may allow bacteria to continue to grow resulting in a relapse of the infection. Use of this drug for more than 14 days is not recommended. Consult your doctor. This medication should be taken at least 2 hours before or 2 hours after antacids containing magnesium or aluminum, as well as sucralfate, citric acid/sodium citrate and vitamins or minerals containing iron. When morphine is given by vein, it should be given at least 2 to 4 hours after trovafloxacin. Consult your doctor or pharmacist for proper use of this combination.

SIDE EFFECTS: Dizziness, nausea, change in taste sensation, or headache may occur. If these effects persist or worsen, notify your doctor promptly. Unlikely but report promptly: vomiting, diarrhea, stomach pain, dark urine, yellowing eyes or skin. Very unlikely but report promptly: chest pain, unusually fast or slow heartbeat, seizure, persistent sore throat or fever, muscle weakness, cramps/pain/swelling of tendons (e.g., shoulder, hand, ankle tendons), bleeding or bruising, increased sun sensitivity (sunburns), mental/mood changes, vision problems, increased thirst or hunger, changes in the amount of urine. In the unlikely event you have an allergic reaction to this drug, seek immediate medical attention. Symptoms of an allergic reaction include: rash, itching, swelling, fainting, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Before using this drug, tell your doctor your medical history, including: allergies (especially drug allergies), liver disease, brain/spinal disorders (e.g., seizures or severe blood vessel disease), heart disease (including irregular heartbeat), lung disease. Use of this medication for prolonged or repeated periods may result in a secondary infection (e.g., oral, bladder or vaginal yeast infection). This medication increases sensitivity to the sun. Avoid prolonged sun exposure. Wear protective clothing and use a sunscreen when outdoors. Limit alcohol intake, as it may worsen certain side effects of this medication. Since this drug may cause dizziness, use caution if operating machinery or performing hazardous tasks (e.g., driving). To avoid dizziness or lightheadedness when rising from a seated or lying position, get up slowly. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. This drug is excreted into breast milk. Because of the potential risk to the infant, breast-feeding while using this drug is not recommended. Consult your doctor before breast- feeding. Elderly patients may be more sensitive to the effects of this drug therefore caution is advised.

DRUG INTERACTIONS: Tell your doctor of all nonprescription and prescription medication you may use, especially of: antacids containing magnesium or aluminum, sucralfate, vitamins or minerals containing iron, citric acid/sodium citrate, morphine injections (by vein), blood pressure medications (e.g., prazosin), other antibiotics (especially quinolone-type). Avoid drinking large amounts of beverages containing caffeine(coffee, tea, colas) or eating large amounts of chocolate. This drug may increase and/or prolong the effects of caffeine. Also, certain cough/cold products (with "adrenaline-like" medicine such as decongestants), isoniazid and cholinesterase blockers such as tacrine and donepezil might increase the chance of seizures. Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately.

NOTES: This medication has been prescribed for your current condition only. Do not use it later for another infection or give it to others. A different medication may be needed in those cases. Laboratory tests may be performed to monitor side effects.

MISSED DOSE: If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

STORAGE: Store at room temperature between 59 and 86 degrees F (15-30 degrees C) away from light and moisture.

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